Hometown Health Administrative Guidelines | Page 11

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Hometown Health Contact Information ____________________________________________________

Eligibility , Claims , Pre-Authorizations and Reconsiderations :

• Link o This free service is available 24 hours-a-day , 7 days a week

• Customer Service : o October 1 ^st through March 31 ^st , 5 days a week , 7:00 a . m . – 8:00 p . m . o October 1 ^st through March 31 ^st , 7 days a week , 7:00 a . m . – 8:00 p . m .

( Open on weekends for Senior Care Plus members ) o April 1 ^st through September 30 ^th , 5 days a week , 7:00 a . m . – 8:00 p . m . o Office will be open 5 days a week , 8 a . m . -5 p . m . o 775-982-3232 or 800-336-0123 o TTY 711 o Fax : [phone]

• Healthcare Utilization Management : o Monday – Friday , 8:00 a . m . – 5:00 a . m . o 775-982-3232 or 800-336-0123 o TTY 775-982-3240 o If you do not have access to the Internet we do accept fax requests for pre-certification : Commercial HMO / PPO Plans at 775-982-3744 and Self-Funded Plans at 775-982-3744

• Pharmacy Pre-Authorization requests : 24 hours a day , 7 days a week

o Senior Care Plus : MedImpact ( 24 hours a day , 7 days a week ) Phone : [phone] or Fax : [phone] o Hometown Health : HometownRx ( Monday – Friday , 8:00 a . m . – 5:00

p . m . PST ) Phone : [phone] Fax : [phone]

• Claims Mailing Address : Hometown Health P . O . Box 981703 El Paso , TX 79998-1703 EDI Payer ID : 88023

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